Abstract
We report the cases two patients who underwent a laparoscopic repair using a mesh after endoscopic repositioning for a large esophageal hiatus hernia complicated by an upside down stomach. Case 1 was an 86-year-old woman who was admitted because of frequent vomiting. CT revealed pneumonia and an upside down stomach. She was treated by endoscopic repositioning, and laparoscopic repair was performed after her general condition improved. Case 2 was an 88-year-old woman who was admitted because of loss of consciousness. CT and upper gastrointestinal endoscopy revealed an upside down stomach and multiple gastric ulcers. She underwent endoscopic repositioning, and oral medical treatment was started. However, gastric ulcer bleeding recurred. Since the bleeding could not be controlled by oral treatment, laparoscopic repair was performed. Neither case has had recurrence of the esophageal hiatus hernia or the appearance of complications using a mesh after laparoscopic repair.
